Individual provider Active NPI

Michael Evan Sperlakis, O.D.

  • Optometrist
  • Yorkville, IL
National Provider Identifier
1962551028
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009353 Issued in IL
Practice address
120 E Countryside Pkwy
Yorkville, IL 60560-1877
Phone
(630) 553-6166
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009353 IL Primary

Addresses

Primary practice location

120 E Countryside Pkwy
Yorkville, IL 60560-1877

Mailing address

120 E Countryside Pkwy
Yorkville, IL 60560-1877
Phone (630) 553-6166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000456 IL Practitioner - Optometry 5496835704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brenart Eye Clinic, LLC 8 clinicians

Practice addresses (Care Compare)

120 E Countryside Pkwy
Yorkville, IL 60560-1877
Phone 63055361661002

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as individual
Quality
67.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009353ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenart Eye Clinic, LLC Optometrist CurrentSince Sep 26, 2007 Accepting new patients

Locations

120 E Countryside Pkwy
Yorkville, IL 60560
Phone (630) 553-6166

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1962551028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601877",
            "telephone_number": "630-553-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601877",
            "telephone_number": "630-553-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLAKIS",
        "first_name": "MICHAEL",
        "middle_name": "EVAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.